ERIK R VANDENDRIES (NPI# 1427184001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427184001 |
| Entity Type | Individual |
| Full Name | ERIK R VANDENDRIES |
| Credential | M.D. |
| Practice Address |
200 West St Waltham MA 02451-1121 |
| Mailing Address |
25 Payson Rd Chestnut Hill MA 02467-3216 |
| Practice Telephone | 7814344463 |
| Mailing Telephone | 7814344463 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
206943 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
200 WEST ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396850442 | Maria A Ponsillo | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2006-08-20 |
| 1023431145 | Celticare Health Plan of Massachusetts, Inc. | Health Maintenance Organization | 200 West St, Waltham, MA 02451-1121 | 2014-01-24 |
| 1821321530 | Nancy M Kivel | Specialist | 200 West St, Parexel, Waltham, MA 02451-1121 | 2009-09-13 |
| 1952540940 | Andrew T Blair | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2009-02-13 |
| 1124218268 | Melody L Craft | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2007-07-25 |
| 1790800639 | Richard P Jacobs | Radiology | 200 West St, Waltham, MA 02451-1121 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093916389 | Marilyn Novich | Internal Medicine | Private Health Care Systems, 1100 Winter Street, Waltham, MA 02451-0921 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699305615 | Donghui L Yu | Internal Medicine | 1500 District Ave Ste 2119, Burlington, MA 01803-5069 | 2020-01-17 |
| 1689191090 | Clinton Wayne Lewis | Internal Medicine | 450 Brookline Ave # 2-058, Boston, MA 02215-5418 | 2017-08-25 |
| 1306208905 | Gregory Ivan Berk | Internal Medicine | 133 Claybrook Rd, Dover, MA 02030-2116 | 2016-03-23 |
| 1457732711 | Camille Johnson | Internal Medicine | Section of Hematology and Oncology Bu/bmc Cancer Center, Boston University 650 Albany St, Ebrc 406, Boston, MA 02118 | 2015-06-12 |
| 1073946018 | Howard George Goldsweig | Internal Medicine | 2400 Beacon St Unit 213, Chestnut Hill, MA 02467-1469 | 2013-08-13 |
| 1861745796 | Benjamin Koziner | Internal Medicine | 11 Farmington Ave, Haverhill, MA 01832-8608 | 2012-10-16 |
| 1962768812 | Elizabeth Paige Walsh | Internal Medicine | 2443 Massachusetts Ave, Apt 3, Cambridge, MA 02140-1132 | 2012-04-04 |
| 1457669293 | Plymouth Medal Group Inc | Internal Medicine | 71 Commercial St, Ste 307, Boston, MA 02109-1320 | 2010-09-14 |
| 1295060812 | Abraham Mark Colb | Internal Medicine | 226 Wren St, West Roxbury, MA 02132-2716 | 2009-10-15 |
| 1962646307 | Anna Berkenblit | Internal Medicine | 35 Cambridge Park Dr., Cambridge, MA 02140 | 2009-04-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.